| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.76 | $399.33 | $617.04 | |
Aetna
| Professional | $144.94 | $168.13 | $206.78 | |
BCBS
| Professional | $241.56 | $241.56 | $241.56 | |
Cigna
| Facility | $170.83 | $316.54 | $437.98 | |
Cigna
| Professional | $92.53 | $184.61 | $367.64 | |
Medica
| Facility | $154.60 | $193.25 | $259.98 | |
Medica
| Professional | $81.17 | $115.95 | $962.39 | |
United
| Professional | $81.17 | $115.95 | $289.88 |